eHealth : the promise of ICT for improving health in Africa

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eHealth : the promise of ICT for improving health in Africa, by Prof. S. Yunkap KwankamExecutive DirectorInternational Society for Telemedicine and eHealth (ISfTeH)

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eHealth : the promise of ICT for improving health in Africa Prof. S. Yunkap Kwankam Executive Director International Society for Telemedicine and eHealth (ISfTeH)‏

Focus of health investment should be on improving sector productivity, cannot just increase funding The most effective way to improve productivity is to improve health systems Source: Nicholas C. Petris Center on Health Care Markets & Consumer Welfare (UC Berkeley), WHO, A Handbook of Cultural Economics (James Heilbrun)‏ Level of HC spending is a function of GDP/capita regardless of external funding Health spend per capita (2005)‏ GDP PPP per capita (2005)‏ R 2 = 0.94

Effectiveness of health spending widely variable Health outcomes not tightly linked to income level Variation in health outcomes highlights considerable room for improvement of inefficient and ineffective health systems Source: WHO GDP PPP per capita (2005)‏ Log GDP/Capita (PPP) vs Childhood (<5) Mortality Childhood (<5) Mortality (per 1000)‏ Country A Country B Country Y Country X Countries with similar health outcomes but very different profiles Countries with similar profiles but very different health outcomes

Challenge - local capacity for eHealth ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Countries with a critical shortage of health service providers (doctors, nurses and midwives)‏

eLearning easing healthcare HR crisis in Kenya 2 In Kenya, chronic shortage of highly skilled nurses ,[object Object],[object Object],[object Object],Promising progress since start of program in Sep. 2005 As of Nov. 2006, 3,265 nurses upgraded 27 colleges and schools participating including AMREF’s Virtual Nursing School Over 100 computer-equipped training centers set up in 8 provinces, including remote and marginalized districts eLearning can reach goal w/in next decade versus >200 years w/ traditional classroom methods (K)‏ ,[object Object],[object Object],[object Object],22,000 ENs to upgrade ,[object Object],[object Object],[object Object],eLearning vs. traditional methods for upgrading ENs Traditional classroom method eLearning Results do not just represent dramatic cost and time improvements over status quo, they are nearly impossible without use of ICT Source: Source: WHO, AMREF website

Challenge – eHealth “pilotitis” ,[object Object],[object Object],[object Object]

Organized eHealth profession in countries ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

WHO definition of eHealth ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Africa Health Infoway- an organizing framework An integrated district health network for Africa AUC's Pan-Africa eNetwork project eAfrica Commission's eSchools project Millennium villages etc

ISfTeH International eHealth Registry ,[object Object],[object Object],[object Object],[object Object]

Conclusion ,[object Object],[object Object],[object Object],[object Object],[object Object],THINK BIG - START SMALL - ACT NOW

Thank you [email_address] [email_address]

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